风湿性心脏病导致的上下腔静脉联合曲张：一种独特的表现。
Combined uphill and downhill varices as a consequence of rheumatic heart disease: a unique presentation.
作者信息
Harwani Yogesh P, Kumar Ajit, Chaudhary Akash, Kumar Manoj, Choudeswari Padmavathi R, Kankanala Vishnu V, Joshi Nayana, Kansagra Chintan, Shah Sandip, Tripathi Abhisheka
机构信息
Department of Medical Gastroenterology, Nizam's Institute of Medical Sciences, Hyderabad, Andhra Pradesh 500082, India.
出版信息
J Clin Exp Hepatol. 2014 Mar;4(1):63-5. doi: 10.1016/j.jceh.2013.10.003. Epub 2014 Jan 2.
Hemorrhage from downhill varices is a rare manifestation. The etiology of downhill varices is due to superior vena cava obstruction while uphill varices are secondary to portal hypertension. We report a rare case of 55-year-old female with bleeding downhill varices not associated with obstruction or compression of superior vena cava, but was due to severe pulmonary artery hypertension secondary to chronic rheumatic heart disease.
下行性静脉曲张出血是一种罕见的表现。下行性静脉曲张的病因是上腔静脉阻塞，而上行性静脉曲张继发于门静脉高压。我们报告一例罕见病例，一名55岁女性，其下行性静脉曲张出血与上腔静脉阻塞或受压无关，而是由于慢性风湿性心脏病继发的严重肺动脉高压所致。
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